钟琼

【摘要】 目的：探究心理护理对产后抑郁症产妇的心理状态及治疗依从性的影响。方法：选取笔者所在医院于2017年2月-2019年1月收治的80例产后抑郁症患者作为本次的研究对象，将其随机分为观察组和对照组，每组40例。对照组患者采用常规护理的方式，观察组患者则在常规护理的基础上加入心理护理，对比两组患者的心理状态及治疗依从性。结果：加入心理护理进行干预的观察组患者的治疗依从度为92.5%，对照组为70.0%，观察组患者的依从性明显优于对照组，差异有统计学意义（P<0.05）;对比两组患者的心理状态，观察组患者的心理状态明显优于对照组，差异有统计学意义（P<0.05）。结论：心理护理在产后抑郁症患者的临床诊疗中效果较好，值得推广应用。

【关键词】 产后抑郁症 心理护理 治疗依从性 心理状态

doi：10.14033/j.cnki.cfmr.2019.30.043 文献标识码 B 文章编号 1674-6805（2019）30-00-03

[Abstract] Objective： To explore the nfluence of psychological nursing on the psychological state and treatment compliance in postpartum depression parturients. Method： A tatol of 80 cases of patients with postpartum depression treated in our hospital from February 2017 to January 2019 were selected as the research objects in this study， and the patients were randomly divided into the observation group and the control group， with 40 cases in each group. The control group were received routine nursing， while the observation group were given psychological nursing on the basis of routine nursing. Then， the psychological status and treatment compliance of the two groups of patients were compared. Result： The treatment compliance in the observation group was 92.5%， and in the control group was 70.0%. The compliance in the observation group was significantly better than that in the control group （P<0.05）. The psychological state of two groups were compared， the psychological state of the patients in the observation group was significantly better than that in the control group， and the difference was significant （P<0.05）. Conclusion： The effect of psychological nursing in clinical diagnosis and treatment of postpartum depression are good，which it is worth promoting and applying.

[Key words] Postpartum depression Psychological nursing Treatment compliance Psychological state

First-authors address： Xianning First Peoples Hospital， Xianning 437000， China

產后抑郁症是现在社会普遍关注的问题，它的发生是由产妇的精神压力过大而引起的内分泌紊乱造成的。在产妇产褥期前后，产妇可能受自身的心理压力、家庭环境、社会环境等原因的影响，造成心理状况不好、情绪波动大等而渐渐发展成抑郁症。据相关数据调查显示，产后抑郁症的发病率在15%～30%，主要集中在产后2周，临床表现主要为焦虑、慌张、恐惧、伤心、情绪波动较大等，严重者会感觉绝望、痛苦甚至出现伤害自己伤害他人的行为[1]。部分患者出现产后抑郁后一段时间就能自行恢复至痊愈，但在妊娠期间依然有复发的可能，产后抑郁不利于患者的身心健康，同时也会给家庭造成不好的影响，如果患者在患病后未及时接受治疗，可能导致不可想象的后果发生。而随着人们对孕妇的更加关心、对产后抑郁也愈发重视，人们对护理的需求也越来越多，同时要求也越来越高[2]。……